Wang Huizi, Liu Fei, Ren Yaru, Sun Yi
Department of Nursing, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan, Shandong, China.
BMC Nurs. 2025 Jul 1;24(1):689. doi: 10.1186/s12912-025-03389-y.
Nursing turnover is a critical global issue, particularly among newly employed nurses in standardized training. This study explores the relationships between professional identity, workplace violence, burnout, and turnover intention, focusing on the mediating role of burnout.
A cross-sectional design was used, recruiting 1,058 participants from five tertiary hospitals in Jinan, Shandong. Data were collected using the Nursing Career Identity Scale, Workplace Violence Questionnaire, Maslach Burnout Inventory, and Nurse Turnover Intention Scale. Pearson's correlation, hierarchical regression, and structural equation modeling (SEM) were applied for analysis.
Workplace violence (r = 0.30, p < 0.001) was positively associated with burnout, while professional identity (r = - 0.26, p < 0.001) was negatively associated. Burnout mediated the effects of workplace violence (β = 0.05) and professional identity (β = -0.08) on turnover intention.
Burnout significantly mediates the effects of workplace violence and professional identity on turnover intention among newly employed nurses. In addition to reinforcing professional identity and mitigating workplace violence, implementing strategies such as workload adjustment, psychological support, and conflict resolution training may offer practical pathways to reduce burnout and enhance nurse retention.
Not applicable.
护士离职是一个关键的全球性问题，在参加规范化培训的新入职护士中尤为突出。本研究探讨职业认同、工作场所暴力、职业倦怠和离职意愿之间的关系，重点关注职业倦怠的中介作用。
采用横断面设计，从山东济南的五家三级医院招募了1058名参与者。使用护士职业认同量表、工作场所暴力问卷、马氏职业倦怠量表和护士离职意愿量表收集数据。采用Pearson相关性分析、分层回归分析和结构方程模型（SEM）进行分析。
工作场所暴力（r = 0.30，p < 0.001）与职业倦怠呈正相关，而职业认同（r = -0.26，p < 0.001）与职业倦怠呈负相关。职业倦怠在工作场所暴力（β = 0.05）和职业认同（β = -0.08）对离职意愿的影响中起中介作用。
职业倦怠显著中介了工作场所暴力和职业认同对新入职护士离职意愿的影响。除了强化职业认同和减轻工作场所暴力外，实施工作量调整、心理支持和冲突解决培训等策略可能为减少职业倦怠和提高护士留职率提供切实可行的途径。
不适用。
